Is functional uterine bleeding easy to treat?

Written by Liu Jian Wei

Obstetrics and Gynecology

Updated on September 10, 2024

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Functional uterine bleeding is a common gynecological disease. The cause of functional uterine bleeding is relatively clear, so it is easier to treat clinically. Currently, oral hormonal drugs are widely used to treat functional uterine bleeding. Most patients have their endocrine disorders readjusted after taking oral hormonal drugs, returning to normal levels. After several courses of hormonal drug treatment, most women can recover and resume regular menstrual cycles.

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Written by Zou Fu Hua

Obstetrics and Gynecology

1min

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What are the symptoms of functional uterine bleeding?

Functional uterine bleeding is primarily characterized by severe disruptions in menstrual cycle, amount, and duration. The disruptions in menstrual cycles typically manifest as an early onset of menstruation. The amount of menstruation is typically characterized as excessive, and the duration tends to be prolonged. Some women experience heavy bleeding or incomplete clearing, where they may remain unclean for half a month or even one or two months. This condition is primarily seen in adolescent girls and women going through menopause. Adolescent girls with uterine bleeding may experience anemia, and it could lead to infertility later on. Menopausal uterine bleeding may be accompanied by severe anemia, requiring some to be hospitalized for blood transfusions. Moreover, it is essential to perform an ultrasound if the uterine endometrium is thick, to rule out endometrial pathology.

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Written by Liu Jian Wei

Obstetrics and Gynecology

43sec

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Is functional uterine bleeding heavy?

Functional uterine bleeding can be classified into different types. Clinically, some functional uterine bleeding can cause a large amount of bleeding in the vagina in a short period of time. In such cases, hemostatic treatment is crucial. If the patient does not receive timely hemostatic treatment, the continued vaginal bleeding and increasing blood loss can potentially lead to hemorrhagic shock. Therefore, in clinical practice, if there is a significant amount of functional uterine bleeding, diagnostic curettage is often used as a treatment approach. This method not only serves a diagnostic purpose but also achieves immediate hemostatic effects in a short duration.

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Written by Liu Jian Wei

Obstetrics and Gynecology

47sec

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Functional uterine bleeding will be cured.

Functional uterine bleeding is not uncommon in clinical practice, and most cases of functional uterine bleeding can be cured. The cause of functional bleeding is primarily due to a disorder of various hormones in women, including estrogen and progesterone. Therefore, when a patient suspects functional uterine bleeding, it is necessary to conduct gynecological color Doppler ultrasound and sex hormone tests amongst others, to assess the levels of various hormones in the female endocrine system. Based on the different abnormal results, different treatment methods are selected. Generally, after hormonal adjustment, the hormone levels in most women will return to the normal range.

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Written by Liu Jian Wei

Obstetrics and Gynecology

58sec

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Is functional uterine bleeding serious?

Functional uterine bleeding is a disease caused by hormonal imbalances in women. Most cases of functional uterine bleeding are not serious, but being not serious does not mean it can be ignored. Generally, when a woman experiences functional uterine bleeding, it is recommended to immediately seek medical attention at the gynecology outpatient clinic of a local hospital, undergo a gynecological color ultrasound, sex hormone panel, and other relevant examinations. Identify the causes and types of functional uterine bleeding, and adopt different treatment plans based on different results. Meanwhile, it is important to note that if the bleeding is heavy, it may be necessary to perform a blood cell examination to determine whether anemia has occurred.

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Written by Shen Li Wen

Obstetrics and Gynecology

1min 1sec

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What to be aware of during a functional uterine bleeding curettage?

When women experience dysfunctional uterine bleeding, if oral medical therapy is ineffective, diagnostic curettage can be used to stop bleeding and to understand the causes of the bleeding. Before undergoing curettage surgery, women should not have sexual intercourse within five days to avoid infections in the reproductive tract. During the curettage process, it is crucial to thoroughly scrape the entire uterine wall, especially the areas around the corners of the uterus. If any abnormal scrapings, such as dirty, greyish-white substances that resemble endometrial cancer, are encountered during the scraping, the procedure should be terminated immediately to avoid causing uterine perforation. For one month after the surgery, sexual intercourse, sitz baths, and swimming should be avoided to prevent infections in the reproductive tract.